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General NPI Number Information
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NPI Number | 1508035635
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Entity Type | Organization
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Legal Business Name | CECIL COUNTY
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 107 CHESAPEAKE BLVD STE 108
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City | ELKTON
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State | MD
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Zip | 21921-6390
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Country | US
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Telephone | 410-392-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 200 CHESAPEAKE BLVD STE 108
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City | ELKTON
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State | MD
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Zip | 21921-6653
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GRANTS & REVENUE ADMINISTRATOR
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Name | JOHN MAYES
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Credential |
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Telephone | 410-392-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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